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Electrical Permit - Permit# L22-01 - 3746 Sunset Drive - 1/3/2022CITY OF SPRING PARK ELECTRICAL PERMIT OFFICE USE ONLY Electric Permit # L 2z Darr Issued: —LjW17, Receipt PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Quantity DESCRIPTION OF WORK FEES Subrrotal A. MINIMUM FEE PER INSPECTION TRIP Includes up to 4 circuits if more than 4 see Sec. D below $ 40.00 per Additional Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $ 40.00 per B. RESIDENTIAL One and Two-family dwelling units Up to 3 trips Included in fee 1. New Dwelling_Unit, up to and including a 200 amp service $ 125.00 per unit . 2. New Dwelling Unit, 201_amp to 400 amp service - $ 175.00 per unit _. 3. Existing Dwelling Unit, additions, alterations, or repairs up to & including a 200 amp service, fees as per C & D below but not to exceed $ 125.00 per unit - 4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service fees as per- & D_below but to exceed �175.00 per unit _ 5. New or Existing Dwelling Unit, 401 amp service or above See C & D below C. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICES, GENERATORS, OTHER_ POWER_ SUPPLY SOURCES, OR FEEDERS TO SEP. STRUCTURES.._ 1*_Up to and including a 200 amp service $ 50.00 each 2. 201 am to and including 400 am service ._ in $ 100.00 each .........-.. 3.401 amp to and including 800 amp service $ 200.00 each 4. 801 amp service and above $ 300.00 each D. FEES FOR CIRCUITS/FEEDERS & TRANSFORMERS 0 to 200 AT _ __— - _---___— $ 10.00 per circuit Above 200 am $ 15.00 per circuit _ Transformers up to 10 KVA $ 20.00 each Transformers over 10 KVA $ 30.00 each E. MULTI -FAMILY DWELLINGS Each dwelling _ unit __----._.. -- .__ . -___- $ 50.00 per unit ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS Each S stem Device or A aratus Y pp @ $ .50 each WORK BEGUN OR FINISHED WITHOUT PERMIT IS 2X THE REQUIRED PERMIT FEE 1.00 $ State Surcharge .0005 of the permit fee (minimum of $1.00) TOTAL AMOUNT DUE (Do not forget State Surcharge Fee) You must call 952-442-7520 when work is ready for inspection! Describe Proposed Work: i rZ L�t' 1 ^ 5 ��\ j CVfQ G1 r <n"Q- Separate Permits are required for any building, mechanical, fire, or plumbing work. PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES L Job Site: Street Address: �� L' �`>� ��� I Spring Park, MN Zip: OR Legal Description: Lot: Block: Subdivision: Property ID (PIN No): Applicant is: Contractor: 1ST Or Owner: ❑ t_ Contractor/Company Name( �'�(� t flCAlLicense Al #C7 +�'' CitylState: � � �?� Zip Address:-� Telephone: Office/Home: (1 - Mobile: E-mail: r7 � a`� 1 ld r" n G�► Qom" Fax. Builder/Owner Name�c�,'�_�� t tr'� C ,� -�' C' Address (if diff. from Site): City/State: Zip: Telephone: Office/Home: �1� �1 i r - �� Mobile: (_� - E-mail: Fax: () - I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; I UNDERSTAND WORK IS NOT TO START WITHOUT A PERMIT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (1) THE CONDITIONS OF THE PERMIT. (2) THE APPROVED PLANS AND SPECIFICATIONS, IF NEEDED (3) THE APPLICABLE CITY APPROVALS. ORDINANCES, AND CODES, AND (4) THE STATE BUILDING%ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE,. AND BECOME NULL AND VOID IF WORK IS NOT COMPLETED WITHIN 11 MONTHS OF VALIDATED DATE AND. THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDINGIELECTRICAL CODE. Signature:6�!-r_' ----"""" Datd PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharge in payment D Check attached - Check # MAKE CHECKS PAYABLE to MNSPECT EMAIL: electricalCamnspect.com FAX: 952-442-7521 MAIL/DELIVER: MNSPECT, 23� West First Street Waconia, MN 55387 �o Visa/Master Card - _ $ _S Q` .c�Account Number Expiration Date CSV Amount to be withdrawn Credit Card Owner Billing Address: U� ) � i ► J y J ex �N) Street Address City, State Zip Code Payment Authorization Signature (REQUIRED) Print Name on credit card (REQUIRED) M N S P E C TLLC o©Q 952-442-7520 Fax 952-442-7521 888-446-1801 Sold To Dean Fowser Electric Sales Receipt Date Sale No. 1/3/2022 7518 Payment Method Check No. MasterCard Description Qty Rate Amount Electrical Inspection/Permit Fee - L22-01 - 3746 Sunset Dr State Surcharge - Electrical 320.00 1.00 320.00 1.00 Total $321.00